CLINICAS DEL CAMINO REAL INC (NPI# 1518183904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518183904 |
| Entity Type | Organization |
| Organization Name | CLINICAS DEL CAMINO REAL INC |
| Other Organization Name | CLINICAS DEL CAMINO REAL INC MARAVILLA |
| Practice Address |
450 W Clara St Oxnard CA 93033-8363 |
| Mailing Address |
200 S Wells Rd Suite 200 Ventura CA 93004-1302 |
| Practice Telephone | 8054880210 |
| Mailing Telephone | 8056591740 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERTO S. JUAREZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8056591740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EDS CDP EVERY WOMAN COUNT | BCP70666F | 01 |
| CA | FHC70666F | 05 | |
| CA | BLUE SHIELD | ZZZ06123Z | 01 |
| CA | HEALTH ACCESS PROGRAM FAM | HAP70666F | 01 |
| Other Name | Type Code |
|---|---|
| Clinicas del Camino Real Inc Maravilla | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297190 | Clinicas Del Camino Real Inc | Clinic/Center | 730 Paseo Camarillo, Camarillo, CA 93010-6064 | 2019-04-01 |
| 1134369366 | Clinicas Del Camino Real Inc | Clinic/Center | 221 E Ventura Blvd, Suite 126, Oxnard, CA 93036-0277 | 2009-02-27 |
| 1942789359 | Clinicas Del Camino Real Inc | Clinic/Center | 801 Cooper Rd, Oxnard, CA 93030-5445 | 2018-08-08 |
| 1841556404 | Clinicas Del Camino Real Inc | Clinic/Center | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2012-04-09 |
| 1720362056 | Clinicas Del Camino Real Inc | Clinic/Center | 1424 Madera Rd, Simi Valley, CA 93065-3000 | 2011-10-05 |
| 1427276278 | Clinicas Del Camino Real Inc | Clinic/Center | 4400 Olds Rd, Oxnard, CA 93033-8061 | 2007-04-24 |
| 1093933194 | Clinicas Del Camino Real Inc | Clinic/Center | 1200 N Ventura Rd, Suite E, Oxnard, CA 93030-3863 | 2007-04-23 |
| 1396961884 | Clinicas Del Camino Real Inc | Clinic/Center | 650 Meta St, Oxnard, CA 93030-7182 | 2007-04-17 |
| 1316163736 | Clinicas Del Camino Real Inc | Clinic/Center | 1200 Maricopa Hwy, Ojai, CA 93023-3129 | 2007-04-17 |
| 1912123431 | Clinicas Del Camino Real Inc | Clinic/Center | 355 Central Ave, Fillmore, CA 93015-1920 | 2007-04-17 |
| Street Address |
450 W CLARA ST |
| City | OXNARD |
| State | CA |
| Zip Code | 93033-8363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215465018 | Brigitte Wilburg | Psychologist | 450 W Clara St, Oxnard, CA 93033-8363 | 2017-05-24 |
| 1386901593 | Shadi Al Khatib | Pediatrics | 450 W Clara St, Oxnard, CA 93033-8363 | 2012-04-12 |
| 1457585952 | Padmapriya Senthilvelan | Obstetrics & Gynecology | 450 W Clara St, Oxnard, CA 93033 | 2009-05-12 |
| 1114144839 | Christopher Michael Lam | Physician Assistant | 450 W Clara St, Oxnard, CA 93033-8363 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462332 | Andy Luu | Physical Therapist | Two Trees 2051 Statham Blvd, Oxnard, CA 93033 | 2019-11-22 |
| 1568004661 | Martha Hughes | Technician | 615 East Juniper St, Oxnard, CA 93033 | 2019-10-10 |
| 1093232985 | Elena Martinez | Student in an Organized Health Care Education/Training Program | 226 E Fir Ave, Oxnard, CA 93033 | 2017-08-23 |
| 1083140248 | Mara Andrea Sibucao | Licensed Vocational Nurse | 4201 Justin Way, Oxnard, CA 93033 | 2017-05-10 |
| 1477915023 | Maria Guadalupe Castro | Counselor | 1710 San Marino St., Oxnard, CA 93033 | 2016-03-23 |
| 1356709760 | Guadalupe Cervantes-ortiz | Marriage & Family Therapist | 401 Mary Herrera Ln. Apt. B, Oxnard, CA 93033 | 2016-02-01 |
| 1457718850 | Jeff Segovia | Community Health Worker | 4651 Telephone Rd, Suite 300, Ventura, CA 93033 | 2016-01-15 |
| 1083079867 | Reynaldo Concepcion | Registered Nurse | 200 Hillmont Avenue, Ventura, CA 93033 | 2015-12-22 |
| 1235548892 | Daisy V Kerr | Counselor | 135 Lark St, Oxnard, CA 93033 | 2014-08-07 |
| 1508187329 | County of Ventura | Clinic/Center | 325 W. Channel Islands Blvd., Oxnard, CA 93033 | 2010-06-16 |
| Find all providers in zip 93033 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508187329 | County of Ventura | Clinic/Center | 325 W. Channel Islands Blvd., Oxnard, CA 93033 | 2010-06-16 |
| 1043451982 | County of Ventura | Clinic/Center | 3100 N Rose Ave, Oxnard, CA 93036-1807 | 2009-03-23 |
| 1538300488 | County of Ventura | Clinic/Center | 2000 Outlet Center Dr Ste 110, Oxnard, CA 93036-0608 | 2009-03-23 |
| 1134369366 | Clinicas Del Camino Real Inc | Clinic/Center | 221 E Ventura Blvd, Suite 126, Oxnard, CA 93036-0277 | 2009-02-27 |
| 1477116549 | Mountain Health & Community Services, Inc | Clinic/Center | 650 Hobson Way, Oxnard, CA 93030-6706 | 2019-04-15 |
| 1720447568 | County of Ventura | Clinic/Center | 325 W Channel Islands Blvd, Oxnard, CA 93033-4501 | 2016-02-22 |
| 1669738159 | County of Ventura | Clinic/Center | 2220 E Gonzales Rd Ste 120a-b, Oxnard, CA 93036-3707 | 2012-04-09 |
| 1154600336 | County of Ventura | Clinic/Center | 2400 S C St, Oxnard, CA 93033 | 2011-08-05 |
| 1952542896 | County of Ventura | Clinic/Center | 2400 S C St, Oxnard, CA 93033 | 2009-03-23 |
| 1861633703 | County of Ventura | Clinic/Center | 2240 E Gonzales Rd Ste 100, Oxnard, CA 93036-8212 | 2009-03-23 |
| Find all providers in OXNARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.